Factors associated with chronic headache among adults: results from a Ravansar noncommunicable disease cohort study.

IF 1.7 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Eastern Mediterranean Health Journal Pub Date : 2023-08-31 DOI:10.26719/emhj.23.093

Shahab Rezaeian, Behrooz Hamzeh, Mitra Darbandi, Farid Najafi, Ebrahim Shakiba, Yahya Pasdar

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Abstract

Background: Headache is the most common disorder of the central nervous system, and one of the most prevalent noncommunicable diseases.

Aims: We aimed to determine factors associated with chronic headache among adults in the Islamic Republic of Iran.

Methods: This was a cross-sectional study that recruited 10 063 participants from the baseline data of the Ravansar noncommunicable disease cohort study in western Islamic Republic of Iran in 2021. Participants who had headaches for ≥ 15 days per month for ≥ 3 months were considered as having chronic headache. Logistic regression was used to examine the associations.

Results: The prevalence of chronic headache was 10.49% (n = 1054), and was significantly higher among females (14.55%, n = 769) than males (5.98%, n = 285) (P < 0.001). The risk of chronic headache among married females was 73% higher than among single females. Among male smokers, the risk of chronic headache was 1.47 times higher than among non-smokers [95% confidence interval (CI): 1.05, 2.06]. The risk of chronic headache among depressed males was 2.59 times higher than among non-depressed males (95% CI: 1.28, 5.22); and among depressed females the risk was 2.38 times higher than among non-depressed females (95% CI: 1.76, 3.23). Among males who lived in rural areas, the risk of chronic headache was 84% lower than among those who lived in urban areas; and among females who lived in rural areas it was 81% lower than those who lived in urban areas. Being menopausal and having normal sleep were significantly associated with lower risk, while comorbidity was associated with higher risk, of developing chronic headache.

Conclusions: Depression, urban residence, smoking, comorbidity, and being married were associated with an increase in the risk of developing chronic headache, while higher education level, menopause and normal sleep were associated with a decrease in the risk of developing chronic headache.

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成人慢性头痛相关因素:来自Ravansar非传染性疾病队列研究的结果

背景:头痛是最常见的中枢神经系统疾病，也是最普遍的非传染性疾病之一。目的:我们旨在确定伊朗伊斯兰共和国成人慢性头痛的相关因素。方法:这是一项横断面研究，从2021年伊朗伊斯兰共和国西部Ravansar非传染性疾病队列研究的基线数据中招募了10063名参与者。每月头痛≥15天且持续≥3个月的受试者被认为患有慢性头痛。使用逻辑回归来检验相关性。结果:慢性头痛患病率为10.49% (n = 1054)，其中女性患病率为14.55% (n = 769)显著高于男性(5.98%，n = 285) (P < 0.001)。已婚女性患慢性头痛的风险比单身女性高73%。男性吸烟者患慢性头痛的风险是非吸烟者的1.47倍[95%可信区间(CI): 1.05, 2.06]。抑郁症男性患慢性头痛的风险是非抑郁症男性的2.59倍(95% CI: 1.28, 5.22);抑郁女性的风险是非抑郁女性的2.38倍(95% CI: 1.76, 3.23)。生活在农村地区的男性患慢性头痛的风险比生活在城市地区的男性低84%;生活在农村地区的女性比生活在城市地区的女性低81%。绝经期和睡眠正常与患慢性头痛的风险较低显著相关，而共病与患慢性头痛的风险较高相关。结论:抑郁、城市居住、吸烟、合并症和已婚与慢性头痛发病风险增加相关，而高学历、更年期和正常睡眠与慢性头痛发病风险降低相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Eastern Mediterranean Health Journal HEALTH CARE SCIENCES & SERVICESPUBLIC, ENV-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

3.30

自引率

4.80%

发文量

112

期刊介绍： The Eastern Mediterranean Health Journal, established in 1995, is the flagship health periodical of the World Health Organization Regional Office for the Eastern Mediterranean. The mission of the Journal is to contribute to improving health in the Eastern Mediterranean Region by publishing and publicising quality health research and information with emphasis on public health and the strategic health priorities of the Region. It aims to: further public health knowledge, policy, practice and education; support health policy-makers, researchers and practitioners; and enable health professionals to remain informed of developments in public health. The EMHJ: -publishes original peer-reviewed research and reviews in all areas of public health of relevance to the Eastern Mediterranean Region -encourages, in particular, research related to the regional health priorities, namely: health systems strengthening; emergency preparedness and response; communicable diseases; noncommunicable diseases and mental health; reproductive, maternal, child health and nutrition -provides up-to-date information on public health developments with special reference to the Region. The Journal addresses all members of the health profession, health educational institutes, as well as governmental and nongovernmental organizations in the area of public health within and outside the Region.